Jean Griffin Borho

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

17777 Ventura Blvd Ste 105
Encino, CA 91316-3738

Phone

(213) 445-2266

NPI assigned

May 27, 2020

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Jean Ellen Ellen Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Change Within Reach Inc

  • Adult Mental Health Clinic/Center
  • Encino, CA
  • NPI 1003207002

  Clinical

  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1590537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590537600000",
    "number": "1710500459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3906 ALTA MESA DR",
            "city": "STUDIO CITY",
            "state": "CA",
            "postal_code": "916044009",
            "telephone_number": "310-429-8698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17777 VENTURA BLVD STE 105",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "913163738",
            "telephone_number": "213-445-2266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORHO",
        "first_name": "JEAN",
        "middle_name": "GRIFFIN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-27",
        "last_updated": "2020-05-27",
        "certification_date": "2020-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JEAN",
            "last_name": "ELLEN",
            "middle_name": "ELLEN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Chesare Bono, AMFT
• Peter Boon II, OTR/L
• Pete Borboa, D.C.
• Julie Anne Borden, LCSW
• Sara Borenstein, LMFT
• Danielle Born-Nagel
• Victoria Borovsky, M.D.
• Carmen Julia Botero, M.D.
• Samantha Cobert Bothast, LCSW
• Chelsea Bou

• Clinical Social Worker in Encino, CA
• Providers in Encino, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.